Nirva Dieubon-Dessalines, PMHNP-BC
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Huntersville, NC
NPI 1003799800 · NPPES record last updated Nov 14, 2025
Key facts
- NPI
- 1003799800
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5022740 (NC)
- Practice address
- 9525 Birkdale Crossing Dr Ste 300
Huntersville, NC 28078-8459 - Phone
- (704) 360-3637
- NPI assigned
- Jul 29, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Integrative Wellness Solutions PLLC
Practice addresses (Care Compare)
9525 Birkdale Crossing Dr
Suite 300
Huntersville, NC 28078-8459
Phone (704) 360-3637
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251226001880 | NC | Practitioner - Nurse Practitioner | 3375039548 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 293032 | NC | MD | Psychiatric/Mental Health Registered Nurse |
| 5022740 | NC | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Wellness Solutions, PLLC | Psychiatric/Mental Health | Current |
Accepting new patients |
Locations
10430 Harris Oak Blvd
Ste L
Charlotte, NC 28269
Phone (704) 317-2930
3625 N Elm St
Ste 130
Greensboro, NC 27455
9525 Birkdale Crossing Dr
Ste 300
Huntersville, NC 28078
Phone (704) 317-2930
122 Gateway Blvd
Ste C
Mooresville, NC 28117
Phone (980) 766-1030
Interoperability endpoints
- lifestancehealth.nirvadieubon-dessalines@146232.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5022740 | NC | Yes |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 293032 | NC |
Addresses
Primary practice location
9525 Birkdale Crossing Dr Ste 300
Huntersville, NC 28078-8459
Mailing address
9525 Birkdale Crossing Dr Ste 300
Huntersville, NC 28078-8459
Phone (704) 360-3637
Other practice location 1
8816 University East Dr
Charlotte, NC 28213-3971
Phone (980) 704-6670
Other providers in Huntersville, NC
- Erin S. Dice
- Donna Morris Dickert
- Jason Andrew Diehl
- Melissa Herrmann Dierks
- Michelle Dietrich
- Dilack Home Care and Nursing Services
- Dilack Home Care and Nursing Services LLC
- Paula Dilanchian
- Elena Diperri
- Discovering Hope Counseling and Psychological Services
All providers in Huntersville, NC · Psychiatric/Mental Health Nurse Practitioner in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.